Individual provider Active NPI

James B Sowinski, O.D.

  • Optometrist
  • Mokena, IL
National Provider Identifier
1679659775
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009503 Issued in IL
Practice address
20006 Wolf Rd
Mokena, IL 60448-1320
Phone
(708) 478-1022
Fax
(708) 930-1844
NPI assigned
Oct 31, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009503 IL Primary

Addresses

Primary practice location

20006 Wolf Rd
Mokena, IL 60448-1320

Mailing address

20006 Wolf Rd
Mokena, IL 60448-1320
Phone (708) 478-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000073 IL Practitioner - Optometry 9931101920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent Dunlap OD PCGroup PAC ID 4183649510, 3 clinicians

Practice addresses (Care Compare)

719 Almar Pkwy
Bourbonnais, IL 60914-2313
Phone (815) 932-1116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009503ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Dunlap OD PC Optometrist CurrentSince May 1, 2025 Accepting new patients
Absolute Vision Care LTD Optometrist Past Accepting new patients

Locations

719 Almar Pkwy
Bourbonnais, IL 60914
Phone (815) 932-1116

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1679659775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481320",
            "telephone_number": "708-478-1022",
            "fax_number": "708-930-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481320",
            "telephone_number": "708-478-1022",
            "fax_number": "708-930-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWINSKI",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.